Shah, Kaushik Sukhendra

Shah, Kaushik Sukhendra is an individual health care provider with primary practice located at 1000 Hawthorne Ave Suite M, Athens GA 30606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shah, Kaushik Sukhendra can be contacted via phone (706) 548-8010.

Contact Information

Primary practice address
1000 Hawthorne Ave Suite M Athens GA 30606
Fax: (706) 548-8068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 023225 Georgia

Profile Details

NPI number 1962583799
LBN Legal business name Shah, Kaushik Sukhendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962583799 NPPES
Georgia MEDICAID 000237839B

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